106 Chapter 4 4. Influence of KLIK on the consultation According to 70.3% of the clinicians, their consultation improved by the use of the KLIK PROM portal (24.3% neutral, 5.4% disagree) and 60.1% of the clinicians detected problems in functioning of patients and/or parents sooner (33.8% neutral, 6.1% disagree). Reasons for not detecting problems sooner with the use of KLIK were that another team member discussed the KLIK ePROfile with patients and/or parents or that the clinician was already aware of the functioning of the patients. Half of the clinicians (48.6%) indicated that they thought patients and/or parents were satisfied with the use of KLIK, 45.3% of the clinicians indicated that they did not know and 6.1% of the clinicians indicated that they thought patients and/or parents were not satisfied. Reasons why patients were not satisfied according to clinicians were: many questions (time intensive, having to complete PROMs too often, repetition in questions), practical problems (no Internet, login problems) and/or no motivation (annoying, no added value). Regarding the open questions (Table 3), main advantages of KLIK for clinicians were: insight in patient’s functioning, improved communication, detecting problems, insightful feedback, patients being better prepared, easy to use, time saving, and clinician was better prepared. Main disadvantages of KLIK for clinicians were: low response-rate, takes time for clinician, irrelevant content of PROMs, complex procedure, technical aspects, no integration with Electronic Health Record (EHR), and takes time for patients. Table 3 shows the most important advantages and disadvantages of KLIK, expressed by clinicians. According to clinicians, incentives for patients to use the KLIK PROM portal were: insight in functioning (reflection, awareness), preparation for consultation (time to think, conversation topics), improved communication (starting point for conversation, structure, comprehensive), feeling heard (being taken seriously, acknowledgement), to be offered interventions in time (signaling, intervene), and empowerment (involvement, request for help). Ten clinicians (6.8%) indicated that they do not know what the benefits for patients are.
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